RANCHERO CLINIC, LLC
NPI 1457245029
Clinic/Center in Charleston, IL
About Ranchero Clinic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RANCHERO CLINIC, LLC (NPI 1457245029) is a healthcare organization registered as a clinic/center in Charleston, Illinois and active in the NPI registry since June 2025. The organization lists Bernie C Ranchero, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ranchero Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Ranchero Clinic, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ranchero Clinic, LLC's NPI number?
The NPI number for Ranchero Clinic, LLC is 1457245029. It was assigned to this organization in the NPPES registry on June 6, 2025.
Where is Ranchero Clinic, LLC located?
Ranchero Clinic, LLC is located at 825 18th St Ste 238, Charleston, IL 61920. The listed phone number is (630) 696-0714.
What is Ranchero Clinic, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Ranchero Clinic, LLC enrolled in Medicare?
Yes. Ranchero Clinic, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ranchero Clinic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Ranchero Clinic, LLC, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Ranchero Clinic, LLC was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ranchero Clinic, Llc · NPI 1457245029
Clinic/Center organization in Charleston, Illinois. Organization record, active in the CMS NPPES registry since June 6, 2025.
## Identity
- **NPI:** 1457245029 (Entity type: Organization)
- **Enumerated:** June 6, 2025
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Bernie Ranchero, PRESIDENT
## Practice location
- **Address:** 825 18TH ST STE 238, Charleston, IL 61920-2940
- **Phone:** (630) 696-0714
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 6, 2025
- **Other identifiers:** Other 1568656445
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Source: [NPI Profile](https://npiprofile.com/npi/1457245029) · Data from the CMS NPPES public registry.